抽脂后腹部穿透性创伤:迈阿密经验

N. Lyons, Walter A. Ramsey, B. Cohen, C. O’Neil, Cristina Botero-Fonnegra, C. T. Huerta, A. Arakelians, S. Jabori, K. Proctor, W. Kassira, J. Kaufman, Edward B. Lineen, Devinder P. Singh, N. Namias
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引用次数: 0

摘要

吸脂术是世界上最常用的美容整形手术之一。虽然严重的并发症是罕见的,腹腔并发症,如肠穿孔是最常见的死因之一,在抽脂后。我们提出了一个病例系列的六个病人持续腹部损伤从抽脂。对单个机构的急症护理外科(ACS)教师进行了患者调查。在三年的时间里确定了六名患者。平均年龄45岁,均为女性。除抽脂外,这六人还接受了整容手术。其中4人(67%)曾做过腹部手术,5人(83%)超重或肥胖。所有患者均表现为腹痛、心动过速和白细胞增多。所有6例患者都进行了探查性剖腹手术:4例患者进行了小肠切除术,1例患者患有盲肠扭转和腹腔隔室综合征,1例患者患有筋膜侵犯。他们平均接受了4次ACS手术(范围1至11),平均住院时间为29天(范围5至60),平均ICU生存时间为11天(范围1至39)。腹腔内损伤是吸脂术中一种罕见的并发症;然而,为了诊断和治疗这些危及生命的伤害,必须保持高度的怀疑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Penetrating Abdominal Trauma from Liposuction: The Miami Experience
Liposuction is one of the most commonly performed aesthetic plastic surgery procedures in the world. Although serious complications are rare, intra-abdominal complications such as bowel perforation are one of the most common causes of death after liposuction. We present a case series of six patients who sustained intra-abdominal injuries from liposuction. The acute care surgery (ACS) faculty at a single institution were surveyed for patients. Six patients were identified over a three-year period. The average age was 45 years, and all patients were female. All six underwent a cosmetic procedure in addition to their liposuction. Four (67%) had previous abdominal surgery, and five (83%) were overweight or obese. All patients presented with abdominal pain, tachycardia, and leukocytosis. All six underwent exploratory laparotomies: four patients had small bowel enterotomies, one had cecal volvulus and abdominal compartment syndrome, and one had fascial violation. They underwent an average of four ACS procedures (range 1 to 11) and had an average hospital LOS of 29 days (range 5 to 60) and an average ICU LOS of 11 days (range 1 to 39). Intra-abdominal injuries are a rare complication of liposuction; however, a high index of suspicion must be maintained to diagnose and treat these life-threatening injuries.
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